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Ado-Trastuzumab Emtansine Injection

South Dakota rates for HCPCS J9354

Injection, ado-trastuzumab emtansine, 1 mg

Rates data updated July 2026.

How much does Ado-Trastuzumab Emtansine Injection cost?

$43.65per mg

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $43.65 for each mg of this drug. The price depends on where it is billed: about $43.65 from a physician practice, and about $45.71 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

Work out the cost of a dose

This drug is priced per mg. Enter the amount given to see what insurers have agreed to pay for it.

mg
In a doctor's office or clinic
$43.65
At a hospital outpatient department
$45.71

The same drug, in the same amount, costs 5% more at a hospital than at a doctor's office.

Drug cost only. Giving the drug, the visit itself and any monitoring are billed on their own codes. We do not publish dosing guidance: use the amount from your own prescription or treatment plan.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 8 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$43.65$42.66 to $46.77
FacilityA hospital or hospital-owned outpatient department$45.71$42.66 to $45.71

How much rates vary

Facilitymedian $46 · 10th to 90th $42 to $83Professionalmedian $44 · 10th to 90th $43 to $54
$50.0$100.0$200.0$500.0$1.0K$2.0Kfacility $46professional $44

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$42.66
Median
$42.66
Typical High
$85.11
Aetna
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$42.66
Typical High
$46.77
Avera
Setting
Facility
Modifier
Global
Typical Low
$40.74
Median
$41.69
Typical High
$43.65
Avera
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$41.69
Typical High
$41.69
Cigna
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$42.66
Typical High
$53.70
Medica
Setting
Facility
Modifier
Global
Typical Low
$41.69
Median
$41.69
Typical High
$83.18
Medica
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$46.77
Typical High
$4,073.80
Midlands
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$53.70
Typical High
$63.10
Midlands
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$39.81
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$45.71
Typical High
$45.71
United
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$44.67
Typical High
$50.12
Wellmark
Setting
Facility
Modifier
Global
Typical Low
$45.71
Median
$45.71
Typical High
$45.71
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$45.71
Typical High
$45.71

Where South Dakota sits

Rates are fairly even across states for this service. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

South Dakota $43.65 · 5th of 51
CA $45.71NY $40.74

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.